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A simulation-based resident-as-teacher program: The impact on teachers and learners.
Eli M Miloslavsky1, Zaven Sargsyan2, Janae K Heath1
1Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
This study shows that a simulation-based resident-as-teacher (RaT) program significantly improved residents' teaching and feedback skills. The program, utilizing deliberate practice in a controlled setting, was well-received by intern learners.
Area of Science:
- Medical Education
- Simulation-Based Learning
- Internal Medicine Residency Training
Background:
- Residency programs aim to enhance resident teaching capabilities.
- Simulation offers a controlled environment for deliberate practice in teacher training.
Purpose of the Study:
- To evaluate the impact of a simulation-based resident-as-teacher (RaT) program on resident teaching skills.
- To assess the effectiveness of a novel training model for future physicians.
Main Methods:
- A RaT program was integrated into an existing 8-case simulation curriculum for 52 internal medicine interns.
- Forty-one residents served as facilitators, receiving workshop training and faculty feedback.
- Resident teaching and feedback skills were measured via pre/post self-assessments and learner evaluations.
Main Results:
- Significant improvements were observed in resident facilitators' self-reported teaching and feedback skills.
- The most notable enhancement was in teaching within a simulated environment (2.81 to 4.16, P < 0.001).
- Intern learners rated the curriculum highly, with 81% deeming it "excellent."
Conclusions:
- Simulation-based RaT programs provide valuable deliberate practice for teaching skills.
- The program enhanced resident facilitators' teaching and feedback abilities.
- This model can guide the development of simulation curricula and RaT programs in medical residencies.
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